Honourary Doctorate

Full Name *

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Middle

Last

Phone No. *

Email *

Country *

State *

Local Government *

Street Name *

Date of Birth *

Gender

Marital Status *

Certification *

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Entry Level *

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Church Name *

Name of your Pastor *

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Last

Pastor Tel. No.

Area of Calling *

Please indicate current responsibility at your local assembly

Name of Referee *

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Last

Reference Tel. No.

Your Brief Biography (Profile)

How did you get to know us *

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Signature

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Attestation *

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I promise to be a good ambassador of Christ and this University. I promise to display a very high sense of responsibility. I promise that I will support this University with all I have. I agree that my certificate can be withdrawn at any time if I live below the expected standard or found wanting in speech and character.